Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal Canal
Chondrosarcoma is a malignant tumor characterized by the production of a cartilage matrix. Extension into the spinal canal from the extracannular space is seen mainly for neurogenic tumors, but it is rare in nonneurogenic tumors. A 75-year-old woman suffered from sciatic pain and numbness in her low...
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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2021/5510075 |
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author | Kota Wada Akio Sakamoto Rei Kato Takashi Noguchi Takayoshi Shimizu Bungo Otsuki Koichi Murata Shunsuke Fujibayashi Shuichi Matsuda |
author_facet | Kota Wada Akio Sakamoto Rei Kato Takashi Noguchi Takayoshi Shimizu Bungo Otsuki Koichi Murata Shunsuke Fujibayashi Shuichi Matsuda |
author_sort | Kota Wada |
collection | DOAJ |
description | Chondrosarcoma is a malignant tumor characterized by the production of a cartilage matrix. Extension into the spinal canal from the extracannular space is seen mainly for neurogenic tumors, but it is rare in nonneurogenic tumors. A 75-year-old woman suffered from sciatic pain and numbness in her lower left extremity. The diagnosis was of a low-grade conventional chondrosarcoma, which originated from the posterior ilium with an intraspinal extension at the level of the sacrum, compressing the cauda equina. The tumor extended further into the S1 sacral anterior foramen, in the shape of a dumbbell. The tumor was resected in several blocks posteriorly, and the dumbbell-shaped tumor in the S1 foramen was resected by widening the S1 foramen from behind. The posterior extension of the iliac tumor seemed prevented by the posterior sacroiliac ligament, and the tumor extended into the canal. Here, we report that the iliac chondrosarcoma extending into the spinal canal is rare for this tumor type. An understating of the tumor extension is important for planning the surgical strategy. |
format | Article |
id | doaj-art-a7816bc2c2b243edac5e47758eb9ea3d |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-a7816bc2c2b243edac5e47758eb9ea3d2025-02-03T01:27:02ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/55100755510075Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal CanalKota Wada0Akio Sakamoto1Rei Kato2Takashi Noguchi3Takayoshi Shimizu4Bungo Otsuki5Koichi Murata6Shunsuke Fujibayashi7Shuichi Matsuda8Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, JapanChondrosarcoma is a malignant tumor characterized by the production of a cartilage matrix. Extension into the spinal canal from the extracannular space is seen mainly for neurogenic tumors, but it is rare in nonneurogenic tumors. A 75-year-old woman suffered from sciatic pain and numbness in her lower left extremity. The diagnosis was of a low-grade conventional chondrosarcoma, which originated from the posterior ilium with an intraspinal extension at the level of the sacrum, compressing the cauda equina. The tumor extended further into the S1 sacral anterior foramen, in the shape of a dumbbell. The tumor was resected in several blocks posteriorly, and the dumbbell-shaped tumor in the S1 foramen was resected by widening the S1 foramen from behind. The posterior extension of the iliac tumor seemed prevented by the posterior sacroiliac ligament, and the tumor extended into the canal. Here, we report that the iliac chondrosarcoma extending into the spinal canal is rare for this tumor type. An understating of the tumor extension is important for planning the surgical strategy.http://dx.doi.org/10.1155/2021/5510075 |
spellingShingle | Kota Wada Akio Sakamoto Rei Kato Takashi Noguchi Takayoshi Shimizu Bungo Otsuki Koichi Murata Shunsuke Fujibayashi Shuichi Matsuda Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal Canal Case Reports in Orthopedics |
title | Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal Canal |
title_full | Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal Canal |
title_fullStr | Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal Canal |
title_full_unstemmed | Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal Canal |
title_short | Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal Canal |
title_sort | chondrosarcoma arising from the posterior iliac crest extending into the spinal canal |
url | http://dx.doi.org/10.1155/2021/5510075 |
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